WONCA研究论文摘要汇编——基层抑郁症风险患者的连续性服务

发布时间：2018-07-27 15:39

【摘要】：背景目前已开展了对重性精神病患者进提供连续性服务的研究。目的探讨基层对有抑郁症风险患者提供连续性服务的水平,并与对心力衰竭患者的服务水平进行对比。方法采用抑郁症风险患者与心力衰竭患者对比的探索性研究。采用患者问卷评估服务的持续性,包含如下内容:(1)联系的服务提供者数(个人连续性);(2)诊所内服务提供者之间的合作(团队连续性)(6个项目,分数1~5分);(3)诊所外全科医师与服务提供者之间的合作(跨界连续性)(4个项目,分数1~5分)。结果大多数抑郁症风险患者在过去1年中寻遍整个服务提供界联系了几个服务提供者,曾遇到过高水平团队连续性服务及低水平跨界连续性服务。在诊所中可接触到的不同服务提供者要明显多于心力衰竭患者服务提供者(P0.01)。抑郁症风险患者的服务提供者之间的合作更好一些,每项平均得分4.3分,心力衰竭患者得分为4.0分(P=0.03)。然而,跨界连续性服务方面正好相反:抑郁症风险患者每项平均得分3.5分,心力衰竭患者得分为4.0分(P=0.01)。结论抑郁症风险患者与心力衰竭患者之间的探索性对比显示:体验服务连续性方面的差距不大。对此还应行进一步分析。
[Abstract]:Background at present, studies have been conducted on the provision of continuous services for patients with severe mental illness. Objective to explore the level of continuous service for patients with depression risk and compare it with that for patients with heart failure. Methods an exploratory study was conducted between patients at risk of depression and patients with heart failure. A patient questionnaire was used to assess service continuity, including the following: (1) number of service providers contacted (personal continuity); (2) cooperation between service providers within the clinic (team continuity) (6 projects, Scores 1 ~ 5); (3) collaboration between general practitioners and service providers outside the clinic (cross-border continuity) (4 projects, scores 1 ~ 5). Results most patients at risk of depression have contacted several service providers throughout the service provider in the past year and have encountered high levels of team continuity services and low levels of cross-border continuity services. The number of different service providers available in clinics was significantly higher than that in patients with heart failure (P0.01). The collaboration between service providers for patients at risk of depression was better, with an average score of 4.3 per item and a score of 4.0 for patients with heart failure (P0. 03). However, cross-border continuity services were the opposite: patients at risk of depression scored an average of 3.5 points per item, while patients with heart failure scored 4.0 points (P0. 01). Conclusion the exploratory comparison between patients at risk of depression and patients with heart failure shows that there is no significant difference in experience service continuity. This should be further analyzed.
【分类号】：R749.4

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